Razavi International Journal of Medicine
Volume:9 Issue: 1, Winter 2021

Ischemic cardiomyopathy is accompanied with some degrees of decreased metabolism.So,a method to facilitate cellular absorption and use of glucose may promote myocardial function and viability .Glucose,Potassium.Insulin solution(GIK) has been used by some successful results in acute ischemic heart disease and decreases the extent of ischemic zone in myocardium and promote ventricular function.

25 patients with ischemic cardiomyopathy(EF<40%)with stable clinical condition who referred to emergency department or clinic of cardiology were enrolled in our study.They were assessed by echocardiographic indexes before and after GIK administration to evaluate the effects of GIK on systolic and diastolic function of the heart in chronic ischemic cardiomyopathy.

Male to female ratio was 4:1 in our study. According to echocardiographic findings, left heart end diastolic indexes didn't show any significant statistical changes (p>0.005) but diastolic function of left ventricle were improved significantly after administration of GIK (p <0.005) .Despite there wasn't outstanding change on improvement of systolic left and right ventricular function (p>0.005), but because of metabolic improvements and increased in ventricular function after GIK administration, clinical symptoms were decreased.

GIK solution administration(As an accessible and cost-effective agent) may improve ventricular diastolic function and clinical symptoms,so we suggest GIK as an effective therapeutic method in ischemic cardiomyopathy.

One of the methods proposed for the reduction of blood loss during and after cesarean section is the use of such drugs as Tranexamic acid and Misoprostol. Therefore, the present study aimed to compare the effect of Tranexamic acid and Misoprostol on blood loss during and after cesarean section.

This randomized clinical trial was performed in Dr. Ali Shariati and Persian Gulf Hospitals of Bandar Abbas, Iran, between 2015 and 2016. The study population included all candidates for the cesarean section. A total of 300 pregnant women aged 18-40 years with a gestational age of 37-42 weeks were included and assigned to three groups (n=100 in each group): Group A received tranexamic acid, group B received misoprostol, and group C received 200 cc normal saline. During cesarean section, all patients received 20 and 30 units of oxytocin, respectively. The level of blood loss during the operation was determined after measuring the whole blood volume suctioned after the removal of the placenta, as well as differences in the weight of bloody sterile pads and surgical sheets before and after the operation.

Based on the results, the mean scores of hemoglobin before the operation were obtained at 11.96±1, 11.62±1.21, and 12.28±1.26mg/dl in the Tranexamic acid group, the Misoprostol group, and the placebo group, respectively, demonstrating a statistically significant difference (P=0.001). Postoperative hemoglobin level was reduced about 1.02±0.35 (10.9±0.99 mg/dl) in the Tranexamic acid group, 1.19±0.52 (10.46±1.04 mg/dl) in the Misoprostol group, and 1.36±0.50 (10.93±1.34 mg/dl) in the placebo group. There was a significant difference among the three groups in the amount of blood loss during and the first two hours after the operation (P<0.001). According to the post-hoc test analysis, there were significant differences between the two groups (P<0.001).

As evidenced by the obtained results, both medicines are effective in reducing the amount of blood loss during and after cesarean section; nonetheless, Misoprostol is more effective than Tranexamic acid.

This study aimed to compare the efficacy of dialectical behavioral therapy (DBT) and compassion-focused therapy (CFT) on the blood cortisol and serotonin levels in drug abusers.

This quasi-experimental study was conducted based on a pretest-posttest control group design. The statistical population consisted of all male drug abusers who were referred to the Adult Drug Abuse Clinic of Torbat-e-Heydariyeh, Iran, during 2018. In total, 60 cases were selected through simple random sampling and subsequently divided into two experimental (DBT, CFT) and one control group. Afterward, the experimental group participated weekly in 90-min training sessions for 10 weeks. On the other hand, the control group was on the waiting list and received no training. Afterward, the data were collected using a demographic characteristic form, as well as in vitro serum test of cortisol and serotonin levels before and after the intervention. Eventually, the data were analyzed in SPPS software (version 24) using Multivariate analysis of covariance (MANCOVA).

The results of MANCOVA revealed that self-control and blood cortisol had a significant effect on post-test in both DBT and CFT groups (P<0.005). However, given the mean differences, CFT showed more significant effects on the blood cortisol and serotonin levels, compared to DBT.

According to the findings, both DBT and CFT were effective in the reduction of cortisol and elevation of blood serotonin in drug abusers; however, CFT was more effective than DBT.

Due to considerable importance of education among children with intellectual disability, present study aimed at examination of effective factors on social skills curriculum among the students with mental retardation.

The statistical universe included all experts in organization of exceptional students’ education, all curriculum planning specialists in vocational high-school grade and all teachers of high-school mentally retarded students in Busher Province. Using Cochran’s formula, the statistical sample was selected through simple random sampling. A total number of 40 experts of exceptional students’ education, 80 curriculum planners and 93 teachers answered the questionnaire. The researcher-generated questionnaire was used for data collection.

The analyses suggest teachers’ belief on less suitability of vocational high-school curricula to social interests of such students, less individual self-sufficiency achievement among graduates and an insignificant role in vocational rehabilitation of mentally retarded students.

More efforts should be taken to improve social interests and willingness, self-sufficiency and vocational rehabilitation of intellectual disabled children.

Today, increasing consumer desire for health tourism has led to a greater understanding of the behavioral patterns of tourists. It becomes clear that intervention in that process is necessary to achieve the desired results. The development of tourism services at a specific time is essential for the target market and meeting the needs of tourists to succeed in the tourism market. In this article, a Quantitative and qualitative method has been used. In the qualitative method, 50 people were interviewed and in the quantitative part, 156 questionnaires were distributed, and finally, its validity and reliability were examined. SmartPLS2 software has been used for modeling and data analysis. After analyzing the data, the effective factors in tourists' decision to choose Iran as a health tourism destination were examined. By focusing on the obtained factors, the needs of health tourists can be met and more motivation can be created. In this article, the behavior of health tourists is analyzed and finally a model based on tourist behavior is designed to better manage capacity and meet the challenges and needs of tourists So that agencies can predict their future behavior based on the past behavior of tourists.

Depression is a syndrome that includes many symptoms and can have a negative impact on a patient's life. The aim of this study was to investigate the effectiveness of schema therapy on social anxiety, rumination and psychological well-being in depressed patients. The research method was semi-experimental with pre-test, post-test, follow-up, and control group. The statistical population of this study included all patients with depression referred to Abadan Health Center in 2019. In this study, 30 patients with depression who wished to participate in the study were selected by convenient sampling method from among patients with research centers and were randomly assigned to experimental and control groups (each group consisted of 15 patients). The experimental group underwent schema therapy in 10 sessions of 90 minutes, but the control group did not receive any treatment. Data were collected using the Beck Depression Inventory, Social Anxiety Inventory, Rumination Questionnaire, and Psychological Well-Being Questionnaire. Data analysis was performed by repeated measure analysis of variance using SPSS software version 23. The results showed that schema therapy was effective on rumination (P=0.034), social anxiety (P=0.004), and psychological well-being (P=0.022) in depressed patients. It can be concluded that schema therapy was effective on rumination, social anxiety, and psychological well-being in depressed patients.

Aging currently has a major share of population composition. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) on sleep quality, resilience, and death anxiety of the elderly. The research method was pre-test, post-test with two-month follow-up period with control group. The statistical population of this study included all elderly residents in nursing homes in Shiraz in 2019. The sample consisted of 30 people from the mentioned population who were selected by convenience sampling method and assigned to two groups of acceptance and commitment therapy (n=15), and control group (n=15) using simple randomization method. Data were collected using a resilience questionnaire (Conner-Davidson, 2003), Death Anxiety Scale (Collette-Lester, 1969), and Pittsburgh Sleep Quality Questionnaire. Data were analyzed using the repeated measure ANOVA, and the above statistical analysis was performed using SPSS.22 software. The results showed that acceptance and commitment therapy was effective on improving sleep quality (p <0.001) and resilience (p <0.001) and death anxiety (p <0.001) in elderly people. It can be concluded that acceptance and commitment therapy was effective on improving sleep quality and resilience and death anxiety in elderly people.

The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy and compassion-focused therapy on the quality of life of mothers with gestational diabetes.

The research method is quasi-experimental with pre-test-post-test-three-group follow-up. The statistical population of the study was all pregnant mothers who referred to Milad Hospital in Tehran in 2019, who were diagnosed with gestational diabetes. In order to form three groups using purposive sampling method (considering the inclusion and exit criteria), 45 patients were selected and then randomly divided into three groups of 15 (acceptance and commitment therapy, compassionate treatment and group Witness) were assigned. Forman and Herbert (2008) acceptance and commitment group training, and Gilbert (2007) self-compassion training were performed for the second experimental group. Also, a three-month follow-up phase was performed on all three groups. The research tool was the quality of life of the World Health Organization (1986). Data analyzed by repeated measure analysis of variance and spss.22.

The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life in mothers with gestational diabetes (p <0.001).

As a result, acceptance and commitment therapy has a greater impact on the quality of life of mothers with gestational diabetes than compassion-focused therapy.

In recent decades, emphasis on diet and thinness has been considered by all social and racial classes. This study aimed to compare the cognitive-behavioral approach's effectiveness and rational-emotional behavior therapy in reducing social anxiety in overweight adolescents.

The research method was quasi-experimental with pre-test and post-test design with the control and two-month follow-up. The statistical population of this study consisted of male and female adolescents who had been referred to clinics in Tehran in 2019 with overweight and obesity problems, among whom 60 were selected by convenience sampling method. After selecting the subjects, they were randomly assigned to experimental and one control groups. Interventions in both groups were group therapy and consisted of eight sessions for 120 minutes. Data were obtained by social anxiety questionnaire and analyzed using repeated-measures ANOVA and SPSS.22 software. The significance level in this study was considered to be 0.05.

The results showed that cognitive-behavioral approaches and rational-emotional behavior therapy effectively reduced social anxiety in overweight adolescents (p <0.001). However, there was no significant difference between the effectiveness of cognitive-behavioral and rational emotional behavior therapy on social anxiety.

It can be concluded that the cognitive-behavioral approach and rational-emotional behavior therapy can have positive effects on reducing social anxiety in adolescents.

Since learning disability is a shortage in general educational skills and the mothers of children with such a defect should be aware of the skills to deal with incoming issues.

Present study aimed to investigate effectiveness of emotion -focused therapy-based enrichment program on psychological well-being, marital quality and marital satisfaction in mothers of children with specific learning disabilities.

This study was a semi-experimental work with pretest-posttest design and control group. The statistical population included mothers of children with specific learning disability referring to Talas hClinic in District 1 of Tehran in 2017-2018. 30 mothers of children with specific learning disability were chosen as samples and randomly were divided into 2 groups (control and experimental). Initially, the pretest was conducted on the two groups. The experimental group was exposed to 8 sessions of emotion-focused therapybased enrichment program. Then, post-test was carried out. For data collection, Ryff’s psychological well-being scale, Revised Dyadic Adjustment Scale and Marital Satisfaction questionnaire were used. Data analysis was conducted using MANCOVA.

Statistical data analysis indicated positive effectiveness of the enrichment program on psychological well-being, and marital quality and satisfaction of experimental group compared to the controls (P<0/05).

The enrichment program can be an efficient way to increase psychological well-being, and marital quality and satisfaction among mothers of children with specific learning disability.

Although most of the Coronary Artery Fistulae to venous system are congenital , we present a case who was treated conservatively and developed an acquired post CABG fistula formation between Right Coronary Artery and Superior Vena Cava that due to with allow-flow shunt and few symptoms. Case presentation We present a 65 year-old man with history of CABG 3 years earlier who present with chest pain. He had developed a 3-vessel diseases well as a recent Myocardial Infarction (MI) with reduced EF (EF= 25%) he presented a Chest Discomfort since 2 month after discharge that increasing by any physical activity. Consultant Cardiologist decided to perform Coronary Angiography to assess the condition of Native Coronary Artery and also Coronary Grafts well. on coronary angiography all of grafts was patents and but there was an abnormal communication between proximal of native Right Coronary Artery and Superior Vena Cava that finally fill the Right Atrium. Conclusion Clinically, although most of Coronary Artery Fistulae are silent and asymptomatic due to Limited amount of shunt, but in some rare cases in which there is a large shunt and steal of coronary circulation, symptoms and signs of Ischemic Heart disease appears that there are surgical and interventional options for closure of this abnormal communications.